A 13-year-old boy who underwent thoracoabdominal aortic
bypass when he was three years old for middle aortic syndrome
was admitted with fatigue and need for an increased dose of
antihypertensive mediations. The graft was patent, but there
were stenoses at the juxta-proximal and juxta-distal anastomosis
sites. A partial benefit was gained with endovascular stenting.
Although postponement of surgery, until the child reaches full
growth is preferred, surgery remains the inevitable treatment of
choice in patients with middle aortic syndrome. In contrary, it is
important to use the graft as large as possible during the initial
operation to avoid patient-graft mismatch in the future.

Turkish Journal of Thoracic and Cardiovascular Surgery published orginal papers on topics in cardiovascular surgery, cardiovascular anesthesia,cardiology and thoracic surgery. These encompass all relevant clinical, surgical and laboratory specialities, editorials, current and collective reviews, tecnical knowhow papers, case reports, "How to Do It" papers.
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